Individual
AMANDA COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 CLOUKEY AVE, ORANGE, MA 01364-1712
(978) 413-1812
Mailing address
5 CLOUKEY AVE, ORANGE, MA 01364-1712
(978) 413-1812
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-107028
MA
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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